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Organization

OCEANSIDE COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JULIE MICHELLE HERRICK LCSW (EXECUTIVE DIRECTOR)
(207) 571-9923
Entity
Organization

Contact information

Practice address
22 W COLE RD STE 103, BIDDEFORD, ME 04005
(207) 571-9923
(207) 571-9927
Mailing address
22 W COLE RD STE 103, BIDDEFORD, ME 04005-9431

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
595034
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
435033200
ME
Enumeration date
10/26/2009
Last updated
10/18/2023
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